Active NPI
Kristie Nichole Carpenter, DPT
- Physical Therapist
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2000 Medical Pkwy Ste 404
Annapolis, MD 21401-3746 - Phone
- (443) 481-1140
- Fax
- (443) 481-1148
- NPI assigned
- Mar 31, 2019
- Last updated
- Dec 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27522 | MD | |
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
2000 Medical Pkwy Ste 404
Annapolis, MD 21401-3746
Mailing address
263 Severn Rd
Millersville, MD 21108-1206
Phone (973) 362-8661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27522 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Yc Clinic LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
161 Jennifer Rd
Ste A
Annapolis, MD 21401
4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190
331 Oak Manor Dr
Ste 101
Glen Burnie, MD 21061
Phone (410) 766-4878
8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508
8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Annapolis, MD
- NPI 1396122842
Physical Therapist
-
dba Yalich Clinic of Glen Burnie
- Chiropractor
- Glen Burnie, MD
- NPI 1689790560
Physical Therapist
-
- Physical Therapist
- Annapolis, MD
- NPI 1720549330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1891256822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 SEVERN RD",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211081206",
"telephone_number": "973-362-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MEDICAL PKWY STE 404",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013746",
"telephone_number": "443-481-1140",
"fax_number": "443-481-1148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "KRISTIE",
"middle_name": "NICHOLE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-31",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27522",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.